| Hakim Nyazee Llc | |
|
11155 Dunn Rd Ste 212e Saint Louis MO 63136-6166 | |
| (314) 837-4200 | |
| (314) 972-0402 |
| Full Name | Hakim Nyazee Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11155 Dunn Rd Ste 212e, Saint Louis, Missouri |
| Authorized Official Name and Position | Heather Welch (OFFICE MANAGER) |
| Authorized Official Contact | 6369281231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hakim Nyazee Llc 6 Jungermann Cir Ste 215 Saint Peters MO 63376-1626 Ph: (636) 928-1231 | Hakim Nyazee Llc 11155 Dunn Rd Ste 212e Saint Louis MO 63136-6166 Ph: (314) 837-4200 |
| NPI Number | 1780777664 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 09/21/2020 |
| Medicare PECOS PAC ID | 4587704465 |
|---|---|
| Medicare Enrollment ID | O20091228000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780777664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Ashfaq H Hakim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548353428 PECOS PAC ID: 3971643859 Enrollment ID: I20100111000184 |
| Provider Name | Muhammad A Nyazee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952494932 PECOS PAC ID: 6608916580 Enrollment ID: I20100111000243 |
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